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H. Sadeghian, Z. Savand-Roomi, Echocardiographic Atlas of Adult Congenital Heart Disease,
DOI 10.1007/978-3-319-12934-1_157, © Springer International Publishing Switzerland 2015
An 8-year-old girl was referred due to a previous Kawasaki
disease 6 years before.
Diagnosis
The patient was diagnosed with involvement of left main
coronary artery due to Kawasaki disease.
Comment
Regarding the presence of coronary artery involvement,
aspirin was continued [ 160 , 161 ].
Lesson
Some authors believe that dilation of coronary arteries more
than 1.5 times is considered as involvement due to Kawasaki
disease [ 161 ], but indeed it is a defi nition for aneurysm formation due to Kawasaki disease. The size of the coronary
arteries more than 5.5 mm is dilated, and it may be due to
involvement of coronary arteries by Kawasaki disease.
Involvement of Coronary
Artery Due to Kawasaki Disease
Case 157
Fig. 157.1 The left main coronary artery is dilated and irregular (up to
7 mm) in origin in the parasternal short-axis view. AO aorta [ 133 ]
Electronic supplementary material The online version of this
chapter (doi:
10.1007/978-3-319-12934-1_157 ) contains supplementary
material, which is available to authorized users.

513
H. Sadeghian, Z. Savand-Roomi, Echocardiographic Atlas of Adult Congenital Heart Disease,
DOI 10.1007/978-3-319-12934-1, © Springer International Publishing Switzerland 2015
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